| CASE NUMBER | I-200-24074-798635 |
| CASE STATUS | Certified |
| RECEIVED DATE | 3/14/2024 |
| DECISION DATE | 3/21/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Physician/Hospitalist |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/13/2024 |
| END DATE | 9/12/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | United Heath Services Hospitals, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 10-42 Mitchell Avenue |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Binghamton |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13903 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +16077622200 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Fischer |
| EMPLOYER POC FIRST NAME | Bret |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | System Director, Provider & Staff Talent Acquisition & HR Te |
| EMPLOYER POC ADDRESS1 | 10-42 Mitchell Ave. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Binghamton |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13903 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +16077635089 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | N/A |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Heubel |
| AGENT ATTORNEY FIRST NAME | Susanne |
| AGENT ATTORNEY MIDDLE NAME | C. |
| AGENT ATTORNEY ADDRESS1 | 1600 Bausch & Lomb Place |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Rochester |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +15852311423 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | sheubel@hselaw.com |
| LAWFIRM NAME BUSINESS NAME | Harter Secrest Emery LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York State Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 10-42 Mitchell Ave. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Binghamton |
| WORKSITE COUNTY | BROOME |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 13903 |
| WAGE RATE OF PAY FROM | 300000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $400,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $239,200.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | N/A |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | N/A |
| PREPARER FIRST NAME | N/A |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Not applicable |
| PREPARER EMAIL | N/A |
| BEGIN DATE CONVERTED | 2025-01-09 |
